What are the responsibilities and job description for the Auditor position at Pride Health?
Pride Health (TJC Certified) is looking Coding and Billing Auditor to support one of our largest healthcare clients in Dover, DE.
Title: Medical - Coding and Billing Auditor
Location: Dover, DE 19901
Duration: Permanent Position
Shift: Days, Full Time
Salary Range: $53,000.00 - $81,000.00 Benefit
Job Responsibilities:
- Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation.
- Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements.
- Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements.
- Provides coding support to BHMG coding and billing staff.
- Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation.
- Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
Required Education, Credential(s) and Experience:
- Education: Associate degree Related field
- Credential: Certified Professional Coder
- Experience: Five (5) years in Inpatient /Outpatient coding and auditing experience
Preferred Education, Credential(s) and Experience:
- Education bachelor’s degree Related field
- Credential: Certified Professional Coder
- Experience: Coding in multi-specialty group practice setting
Interested? Apply now!
About Pride Health
Pride Health is Pride Global's healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010.
Salary : $53,000 - $81,000
